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Blue Shield - New Virtual Blue Plans

The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. Virtual care includes $0 unlimited visits to primary care, behavioral health and specialty care through a new partnership with AccoladeCare. In-person care is available through the Tandem PPO network in California and via BlueCard when outside of the state.

The two Virtual Blue small group plans available in PRISM are the Virtual Blue Gold Tandem PPO 1500/45 and Virtual Blue Bronze Tandem PPO 7500/75. These can be identified by ‘Virtual Blue’ in the plan name.

When using the PRISM filter options for Narrow or Broad networks, select ‘All’ networks instead of ‘Broad’ only networks to generate plans for Blue Shield’s Virtual Blue, Trio HMO, and Tandem PPO plans.

If you need assistance, please contact our Quotes team at or 800.696.4543.

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Delta Dental – Expanded Coverage for Chronic Conditions

Delta Dental – Expanded Coverage for Chronic Conditions

Delta Dental – Expanded Coverage for Chronic Conditions

Feb 13, 2023, 2 Minute Read

Oral health is more important than you might think. The health of your mouth, teeth, and gums can have a significant impact on your general health. In fact, gum disease and tooth decay are associated with several systemic conditions. That’s why Delta Dental’s SmileWay® Wellness Benefits program provides additional teeth and gum cleanings throughout the year for enrollees with certain chronic medical conditions.

According to the Centers for Disease Control and Prevention, chronic health conditions and unhealthy behaviors reduce worker productivity and cost US employers $36.4 billion a year because of employees missing days of work.

A healthier workforce can result in lower direct costs, such as insurance premiums and workers’ compensation claims, and lower indirect costs if workers miss less work due to illness. With SmileWay Wellness Benefits, members stay healthy and more productive.

SmileWay Wellness Benefits Program

Delta Dental PPO™ members and their dependents can take advantage of enhanced benefits and receive up to five cleanings per calendar or contract year if they’ve been diagnosed with one of the following chronic medical conditions:

When employees keep up with regular cleanings, they can reduce the symptoms and complications of their chronic conditions, and help prevent further health issues.

More Covered Cleanings Every Year
Once enrolled in SmileWay Wellness Benefits, Delta Dental PPO members with qualifying chronic conditions are eligible for extra routine and periodontal cleanings:

How to Enroll
For groups with this benefit, enrollees who have been diagnosed with any of the qualifying chronic conditions will need to opt in online or call Customer Service to access the expanded coverage.

Delta Dental’s SmileWay Wellness Benefits can be added to all mid-size and large group Delta Dental PPO plans. Download the SmileWay Wellness Benefits broker flyer and SmileWay Wellness Benefits member flyer to learn more.

Contact us today for a Delta Dental quote and to add SmileWay Wellness Benefits to your clients’ plans.

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